Displaying 26121-26130 of 1611142 results.
ID:
26121
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762875
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26122
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762849
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26123
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26124
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26125
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762868
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26126
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
762897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26127
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
26128
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26129
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
26130
Formulary ID:
00021008
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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